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throughout France with a population above 20,000, and in Germany with a population above 15,000. In Berlin the total average death rate from diphtheria for six months for these years up to 1895 was 668. For 1895, after antitoxin had been partially introduced, it was 429; and in 1S96, after more general introduc- tion, it was only 294, or less than one-half the abso- lute number of deaths which had occurred on the aver- age for the preceding six years. In Paris there had been a similar reduction: from 1889 to 1895 it had averaged 923, while for 1895 it had averaged 228, and for 1896, 329. He impressed the fact that these were not percentages of mortality in the total number of cases diagnosed as diphtheria, but the average of deaths from the disease. New York free online slot machine games with bonus rounds City also free download slot machine games for mac showed free video slot games for ipad a great fall in the absolute number of deaths from diphtheria in T895 and 1896 compared with the pre- vious live years. Other tables showed that the good results from antitoxin treatment were greatly in favor of cases treated early. Dr. Biggs quoted, in conclu- sion,' Virchow's exclamation, that theoretical consider- ations must free online slot games with bonuses yield to the brute force of statistics. Dr. A. Campbell White said that in his connec- tion with the health department of New York he had seen about 600 cases of diphtheria during 1896, and while not more than one-fifth of the number had been treated with antitoxin, yet the results were decidedly in favor of the latter. Antitoxin was not so likely to be used in the milder cases, but when the disease lie- came severe the parents were likely to insist upon its use. As to methods of feeding, he had been much more favorably impressed with introduction of the food into the stomach by way of the nares than with rectal feed- ing. He had heard it said that the intubation tube, when used, had to be left in much longer in antitoxin cases: but that was contrary to his observation. He had never seen • any complications. When heart fail- ure took place, he attributed it to absorption of diph- theritic poison before the use of antitoxin. Nasal irri- gation was demanded much less frequently than before the use of antitoxin. Dr. Hf.xkv K01 si ik had seen much of diphtheria in connection with the health department, ami since April of this year had injected 93 patients with anti- toxin, only 2 of the number dying. Later, or sine* October, he had injected 44, with only 1 death. Ht thought that the physician who had a case of - diphtheria and did not use antitoxin committed a criminal offence. The Other Side. — Dr. slot games online sizzling hot Joseph E. Winters though the question of the antitoxin treatment of diphtheria would never be settled by such statistics as had been presented to-night, but must be settled by careful study slot machine games play for fun online of cases in private practice. As proof of the first statement, he quoted the absolute mortality from diph- theria for certain years in New York before the intro- duction of antitoxin, and said it had been fifty per cent, greater some years than others. So with other cities. The number of deaths from diphtheria in Philadelphia in 1888 was 350, whereas in 1892 it was 1,452. He quoted Dr. Graves, of Dublin, as Dr. Smith had done, on the variation in type of the dis- ease. In Dublin, Craves lost nearly all of his cases of scarlet fever in the epidemic of 1 801 -1804. From the latter year to 1831 few patients died. From 1832 to 1835 there was another epidemic like the first one- mentioned, w hen nearly all patients died. It meant a variation in type of disease, not in treatment. Dr. Winters gave statistics sent free slot machine games for android him by physicians in New York, showing as good results, if not better, from treat- ment without antitoxin than those which had been pre- sented in favor of antitoxin. Some of the gentlemen had given up antitoxin, because its use in their hands had been attended by so high a mortality. Regarding Dr. Biggs' statistics for free online slot machine games uk Paris and Berlin, showing a reduction of deaths from diphtheria for 1895-96. why had he not quoted London statistics? In that city there had been no such reduction, and yet antitoxin was employed in free online video slot games with bonus rounds London as well as in Paris and Ber- lin. There was simply a difference in the type of the disease. In the same way, one could account for the fact that Dr. Smith could give a lower mortality For antitoxin in the Foundling Asylum than he had done for an earlier period. At the Willard Parker there had been a death rate for August, 1896, of free online slot machines with bonus games no download 37.7 per cent., and for November one of 25.6 per cent. The differ- ence was due to difference in the free slot games for android tablet material. In the same hospital it was decided to try increasing the dose, which had been done from 1.500 to 6,000 units: but out of 30 patients so treated, 18 had died — a death rate of 60 per cent. Before that they had increased from 1,500 to 3,000 units, with the result of having a death rate of 50 per cent. Dr. Winters then pre- sented the free online slot games no downloads no registration histories of a number of cases seen by him in consultation practice, in which antitoxin had been used and had been followed by tetanic convulsions, ending soon or after many hours in death: also cases of sudden death with other symptoms. A number of cases with unfavorable symptoms had been reported to him by various physicians. Such facts led him to look upon this serum not as an antitoxin, but as a toxin which added to the dangers of diphtheria. Physicians were giving it up in private practice. He had been told that druggists sold less of it, and the health department was turning out much less than it had done some months ago. One doctor could be heard to s.,\ thai lie would not use Behring's serum, luit employed only Vronson's, having had an unfavor- able online slot games with bonus rounds result from the former. Another did not use Aronson's, having had a death which he attributed to it. And so with other serums: they were all danger- ous. Dr. RuPP related some experience unfavorable to antitoxin, and thought that free online slot games no downloads free bonus rounds physicians in private prac- tice had good reason to take exception to the state- ment made by the gentleman connected with the ot I1e.1lth.tl1.it the doctor who failed to use air in a severe case ot diphtheria was a criminal. The discussion vegas slot games play free was continued by Dks. Berg, Bran- January 2, 1S97] MEDICAL RECkP. 1 nan. William Park, and was closed by the author. 1 he. were of the opinion that Dr. free slot games no download required Winters was some- what prejudiced, otherwise he would not have over- looked the fact that the high mortality from diphtheria in the Willard Parker Hospital occurred during the month of August, when the temperature was e.x and many people throughout the city died from the heat: further, that the board of health was, it was true, turning out less antitoxin by the quantity than formerly, but it was five times stronger, and in reality was greater, measured by antitoxin units. The large doses used in the Willard Parker Hospital were for the severer cases, which would account for the higher free online vegas casino slot games mortality in them. Since under former treatment they would die, it was thought justifiable to try the larger doses, and the mortality had not free download slot machine games for android been great on that account. Officers. — free video slot machine games with bonus rounds Dr. W. H. Fruitnight was elected Chair- man, and Dr. T. S. Southworth Secretary for the ensu- ing year. Ihcvapcutic Bints. Medicated Crayons for the treatment of uterine cancer are composed of: K Methylene blue. Tannin aa cgm.

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